open access

Vol 55, No 5 (2021)
Research Paper
Submitted: 2020-11-11
Accepted: 2021-07-12
Published online: 2021-10-19
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Does granulocyte-colony stimulating factor stimulate peripheral nerve regeneration? An experimental study on traumatic lesion of the sciatic nerve in rats

Doerthe Keiner1, Harald von Pein2, Jacek Szczygielski13, Andreas Kramer4, Axel Heimann5, Oliver Kempski5, Clemens Sommer2, Joachim Oertel1
·
Pubmed: 34664711
·
Neurol Neurochir Pol 2021;55(5):469-478.
Affiliations
  1. Department of Neurosurgery, Saarland University Medical Centre and Saarland University Faculty of Medicine, Homburg/Saar, Germany
  2. Division of Neuropathology, University Medical Centre of the Johannes-Gutenberg-University, Mainz, Germany
  3. Institute of Medical Sciences, University of Rzeszow, Poland
  4. Department of Neurosurgery, University Medical Centre of the Johannes-Gutenberg-University, Mainz, Germany
  5. Institute of Neurosurgical Pathophysiology, University Medical Centre of the Johannes-Gutenberg-University, Mainz, Germany

open access

Vol 55, No 5 (2021)
Research papers
Submitted: 2020-11-11
Accepted: 2021-07-12
Published online: 2021-10-19

Abstract

Aim of the study. To analyse the therapeutic potential of granulocyte-colony stimulating factor (G-CSF) treatment using a rat model of traumatic sciatic nerve lesion. Clinical rationale for the study. G-CSF has proven strong neurotrophic properties in various models of ischaemic and traumatic brain injury. Fewer studies exist regarding the influence of G-CSF on posttraumatic peripheral nerve regeneration. Currently, the possibilities of pharmacological prevention or treatment of mechanical nerve injury are limited, and there is an urgent need to find new treatment strategies applicable in clinical situations. Material and methods. A controlled traumatic right sciatic nerve lesion was set using a waterjet device. Three treatment groups were created. In the first group, G-CSF was administered after sciatic nerve injury. The second group received G-CSF before and after trauma, while the third group was treated with glucose 5%-solution. Sciatic nerve function was assessed clinically and electrophysiologically at day 1, and after weeks 1, 2, 4 and 6. Additionally, α-motoneurons of the spinal cord and sciatic nerve fibres were counted at week 6. Results. Clinically, rats in both G-CSF groups improved faster compared to the control group. Additionally, animals treated with G-CSF had a significantly better improvement of motor potential amplitude and motor nerve conduction velocity at week 6 (p < 0.05). Histologically, G-CSF treatment resulted in a significantly higher number of α-motoneurons and small myelinated nerve fibres compared to placebo treatment (p < 0.05). Conclusions and clinical implications. Under G-CSF treatment, the recovery of motor nerve conduction velocity and amplitude was enhanced. Further, signs of nerve regeneration and preservation of α-motoneurons were observed. These results indicate that G-CSF might accelerate and intensify the recovery of injured nerves. Thus, treatment with G-CSF may be beneficial for patients with peripheral nerve damage, and should be explored in further clinical studies.

Abstract

Aim of the study. To analyse the therapeutic potential of granulocyte-colony stimulating factor (G-CSF) treatment using a rat model of traumatic sciatic nerve lesion. Clinical rationale for the study. G-CSF has proven strong neurotrophic properties in various models of ischaemic and traumatic brain injury. Fewer studies exist regarding the influence of G-CSF on posttraumatic peripheral nerve regeneration. Currently, the possibilities of pharmacological prevention or treatment of mechanical nerve injury are limited, and there is an urgent need to find new treatment strategies applicable in clinical situations. Material and methods. A controlled traumatic right sciatic nerve lesion was set using a waterjet device. Three treatment groups were created. In the first group, G-CSF was administered after sciatic nerve injury. The second group received G-CSF before and after trauma, while the third group was treated with glucose 5%-solution. Sciatic nerve function was assessed clinically and electrophysiologically at day 1, and after weeks 1, 2, 4 and 6. Additionally, α-motoneurons of the spinal cord and sciatic nerve fibres were counted at week 6. Results. Clinically, rats in both G-CSF groups improved faster compared to the control group. Additionally, animals treated with G-CSF had a significantly better improvement of motor potential amplitude and motor nerve conduction velocity at week 6 (p < 0.05). Histologically, G-CSF treatment resulted in a significantly higher number of α-motoneurons and small myelinated nerve fibres compared to placebo treatment (p < 0.05). Conclusions and clinical implications. Under G-CSF treatment, the recovery of motor nerve conduction velocity and amplitude was enhanced. Further, signs of nerve regeneration and preservation of α-motoneurons were observed. These results indicate that G-CSF might accelerate and intensify the recovery of injured nerves. Thus, treatment with G-CSF may be beneficial for patients with peripheral nerve damage, and should be explored in further clinical studies.

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Keywords

G-CSF, nerve regeneration, peripheral nerve lesion, traumatic nerve injury, waterjet dissection

About this article
Title

Does granulocyte-colony stimulating factor stimulate peripheral nerve regeneration? An experimental study on traumatic lesion of the sciatic nerve in rats

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 55, No 5 (2021)

Article type

Research Paper

Pages

469-478

Published online

2021-10-19

Page views

6732

Article views/downloads

636

DOI

10.5603/PJNNS.a2021.0075

Pubmed

34664711

Bibliographic record

Neurol Neurochir Pol 2021;55(5):469-478.

Keywords

G-CSF
nerve regeneration
peripheral nerve lesion
traumatic nerve injury
waterjet dissection

Authors

Doerthe Keiner
Harald von Pein
Jacek Szczygielski
Andreas Kramer
Axel Heimann
Oliver Kempski
Clemens Sommer
Joachim Oertel

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